ATLS Practice Test 1
1. Which one of the following is the recommended method for initially treating frostbite?
a. vasodilators
b. anticoagulants
c. warm (40°C) water
d. padding and elevation
e. application of heat from a hair dryer
2. A 6yearold boy is struck by an automobile and brough...
atlsyolasitecom atls practice test 1 1 which one of the following is the recommended method for initially treating frostbite a vasodilators b anticoagulants c warm 40°c water d padding and e
Written for
Chamberlain College Of Nursing
ATLS
All documents for this subject (130)
Seller
Follow
abram23
Reviews received
Content preview
atls.yolasite.com
ATLS Practice Test 1
1. Which one of the following is the recommended method for initially treating frostbite?
a. vasodilators
b. anticoagulants
c. warm (40°C) water
d. padding and elevation
e. application of heat from a hair dryer
2. A 6yearold boy is struck by an automobile and brought to the emergency department.
He is lethargic, but withdraws purposefully from painful stimuli. His blood pressure is 90
mm Hg systolic, heart rate is 140 beats per minute, and his respiratory rate is 36 breaths
per minute. The preferred route of venous access in this patient is:
a. percutaneous femoral vein cannulation.
b. cutdown on the saphenous vein at the ankle.
c. intraosseous catheter placement in the proximal tibia.
d. percutaneous peripheral veins in the upper extremities.
e. central venous access via the subclavian or internal jugular vein.
3. Which one of the following physical findings suggests a cause of hypotension
other than
spinal cord injury?
a. priapism.
b. bradycardia.
c. diaphragmatic breathing.
d. presence of deep tendon reflexes.
e. ability to flex forearms but inability to extend them.
4. A young man sustains a gunshot wound to the abdomen and is brought promptly to the
emergency department by prehospital personnel. His skin is cool and diaphoretic, and he
is confused. His pulse is thready and his femoral pulse is only weakly palpable. The
definitive treatment in managing this patient is to:
a. administer Onegative blood.
b. apply external warming devices.
c. control internal hemorrhage operatively.
d. apply a pneumatic antishock garment (PASG).
e. infuse large volumes of intravenous crystalloid solution.
1
, atls.yolasite.com
5. Regarding shock in the child, which of the following is
FALSE ?
a. Vital signs are agerelated.
b. Children have greater physiologic reserves than do adults.
c. Tachycardia is the primary physiologic response to hypovolemia.
d. The absolute volume of blood loss required to produce shock is the same as in
adults.
e. An initial fluid bolus for resuscitation should approximate 20 mL/kg of Ringer's
lactate.
6. A 33yearold man is struck by a car traveling at 56 kph (35 mph). He has obvious
fractures of the left tibia near the knee, pain in the pelvic area, and severe dyspnea. His
heart rate is 182 beats per minute, and his respiratory rate is 48 breaths per minute with
no breath sounds heard in the left chest. A tension pneumothorax is relieved by
immediate needle decompression and tube thoracostomy. Subsequently, his heart rate
decreases to 144 beats per minute, his respiratory rate decreases to 36 breaths per minute,
and his blood pressure is 81/53 mm Hg. Warmed Ringer's lactate is administered
intravenously. The next priority should be to:
a. perform external fixation of the pelvis.
b. obtain abdominal and pelvic CT scans.
c. perform arterial embolization of the pelvic vessels.
d. perform diagnostic peritoneal lavage or FAST.
e. perform a urethrogram and cystogram.
7. A 42yearold man, injured in a motor vehicle crash, suffers a closed head injury,
multiple palpable left rib fractures, and bilateral femur fractures. He is intubated
orotracheally without difficulty. Initially, his ventilations are easily assisted with a
bagmask device. It becomes more difficult to ventilate the patient over the next 5
minutes, and his hemoglobin oxygen saturation level decreases from 98% to 89% . The
most appropriate next step is to:
a. obtain a chest xray.
b. decrease the tidal volume.
c. decrease PEEP.
d. increase the rate of assisted ventilations.
e. perform needle decompression of the left chest.
2
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller abram23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.